Japanese Occupational Therapy Research Volume 37, Issue 6 (December 2018)

Effectiveness of compensation utilizing verbal functions and stand-up exercises leading to a reduced need for assistance with ADL for a case of severe unilateral spatial neglect Mayu Kondo 1 , Megumi Suzuki 2 , Nozomi Koike 1 , Tetsuya Tsunoda 3 , Shinichiro Maeshima 4 1Department of Rehabilitation, Fujita Health University Hospital 2Faculty of Rehabilitation, School of Health Sciences, Fujita Health University 3Department of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University 4Department of Rehabilitation Medicine Ⅱ, School of Medicine, Fujita Health University Keyword: 半側空間無視 , 言語機能 , 起立訓練 , 移乗 , Unilateral spatial neglect , Function of language , Stand-up exercise , Transfer pp.669-676
Published Date 2018/12/15
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 This study examined the effectiveness of a comprehensive rehabilitation approach, comprising compensation based on verbalization and stand-up exercise, and focusing on preserved functions. The patient suffered from left unilateral spatial neglect and general and selective attentional dysfunction due to right thalamic hemorrhage and subsequent intraventricular rupture. During transfer training in moving from one supporting surface to another, the patient became aware of when she failed and how as she was encouraged to verbalize each step of transfer repeatedly, leading to an improvement in transfer ability. Stand-up exercise was employed to give her multiple sensory inputs aimed at improving unilateral spatial neglect and to strengthen muscles of the lower extremity and trunk, which led to a reduced need for assistance with ADL. The study showed the usefulness of the rehabilitation approach focusing on residual functions and the effectiveness of the use of stand-up exercise which works on physical and cognitive functions in a comprehensive manner.

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37巻6号 (2018年12月)
電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会